Individual
MICHAEL A METZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-8810
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301076667
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D17631
BCBS GROUP #
MI
01
—
1558407189
GROUP NPI
MI
05
—
4736458
—
MI
Enumeration date
01/20/2006
Last updated
03/03/2021
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